Madeline Ellis, DNP, AG-ACNP-BC
NPI 1104653997 · Nurse Practitioner · Lake Forest, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Madeline Ellis, DNP, AG-ACNP-BC is a Nurse Practitioner provider in Lake Forest, IL (NPI 1104653997).
Provider details
- NPI number
- 1104653997
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, AG-ACNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 209030895 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-09-17
- Last updated
- 2025-01-16
- Certified
- 2025-01-16
Frequently asked questions
- What is Madeline Ellis's NPI number?
- Madeline Ellis's National Provider Identifier (NPI) is 1104653997, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Madeline Ellis's specialty?
- Madeline Ellis is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Madeline Ellis located?
- Madeline Ellis's practice location on file with NPPES is 1000 N Westmoreland Rd # Level1, Lake Forest, IL 60045-1658.
- What is Madeline Ellis's phone number?
- The practice phone number listed in the NPPES registry for Madeline Ellis is (312) 695-1800.
- Does Madeline Ellis accept Medicare?
- Madeline Ellis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Madeline Ellis's NPI active?
- Yes — Madeline Ellis's NPI (1104653997) is active in the NPPES registry as of the last update on 2025-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.